Associate Physician, Inpatient Clinical Care

Job Description

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The Associate Physician (AP) Inpatient Clinical Care serves as a physician extender to provide care to inpatients across the organization, including patients under the Medicine and Surgical Programs. On a day-to-day basis, the AP performs services within the scope of an AP’s clinical duties and responsibilities while under the supervision of an internist, but is accountable to the Lead Physician or documented delegate for the overall provision of quality of care and professional development. The AP supports the provision of continuous care in a team-based environment working collaboratively with the MRP, Residents, nursing and allied care providers to care for acute surgical and/or medicine patients including those admitted under general, vascular, plastics, orthopedics and urologic surgery, along with those under the acute internal medicine service and general medicine.
The AP has demonstrated ability to communicate effectively and has excellent interpersonal skills, with the ability to work within a team, and to build relationships with other health professionals and disciplines. The AP also has demonstrated ability to document in accordance with the College of Physicians and Surgeons of British Columbia (CPSBC) and organizational standards, policies, and guidelines.

Organization
St Paul’s Hospital is a full-service adult tertiary acute care, teaching and research hospital located in downtown Vancouver. It is home to many world-class medical and surgical programs, including heart and lung services, HIV/AIDS, mental health, emergency, critical care, kidney care, and elder care.

Education
Medical degree from a school listed in the World Directory of Medical Schools. Minimum of two (2) years of accredited postgraduate training as a medical or surgical specialist, verified by the CPSBC. Successful completion of Part 1 of the Medical Council of Canada Qualifying Examination (MCCQE) or Steps 1 through 3 of the United States Medical Licensing Examinations (USMLEs). Must meet the CPSBC’s English language proficiency requirements.
Must be eligible for registration with the CPSBC in the AP class, under sponsorship by PHC.
Must hold Canadian Citizenship, be a permanent resident or be legally able to live and work in British Columbia. Qualified candidates will hold or achieve Advanced Cardiac Life Support (ACLS) certification prior to commencing orientation, and will maintain such certification throughout their employment.

Skills and Abilities
Knowledge and skills to diagnose and manage common medical problems in the medical and perioperative patient, e.g. chest pain, dyspnea, hypertension, electrolyte abnormalities, pain control, delirium, etc.
Confidence and experience in recognizing and initiating response to emergency situations such as shock, acute coronary syndrome, stroke, etc. Ability to recognize medical instability and address initial priorities of resuscitation. Able to judge situations where discussion and reporting to senior and most responsible physicians is appropriate.
Excellent English communication, including with patients, families and other health care professionals.
Computer and written communication skills including order entry, clinical documentation, and ability to review relevant diagnostic information and health history.
Ability and comfort in working in a team-based environment.
Ability to carry out professional duties in the face of multiple competing demands.

ASSESSMENT AND PROBATIONARY PERIOD
During a 12-week probationary period, the AP will undergo assessment and evaluation of their competence to perform the duties in the intended specialty areas under a supervising physician. The evaluation will include assessment of:
Basic clinical skills
Communication skills
The ability and willingness to function as a member of a clinical team
Specialized knowledge and skills applicable to the intended clinical placement
Clinical decision-making and the appropriate use of clinical and diagnostic resources
Clinical documentation
Procedures required to function effectively within the team environment
Ongoing employment is contingent upon satisfactory completion of the probationary period, and subject to a six-month and annual reviews.
Physical ability to carry out the duties of the position.

Participates in patient rounds under the supervision of the Attending along with residents and other care team members.
Assesses the day-to-day care of patients, including writing medical orders, consultations with other services, and responding to changing patient conditions, in consultation with Attending staff.
Performs and documents admission history and physical examinations, progress notes, discharge summaries, and medication reconciliation as per CPSBC and organizational standards, policies, and guidelines.
Performs medical surgical consultations for inpatients and patients referred to the ER under the supervision of the Attending physician or surgeon.
Develops treatment plans in response to changing patient conditions, in consultation with Attending staff.
Follows through on investigations in consultation with the Attending staff.
Communicates with, and responds in a timely manner to calls from, the nursing staff and other care team members.
Communicates with patients, family members, other consulting services, and trainees concerning patient care plans, as appropriate.
Performs procedures within the scope of their demonstrated competence, which may include: performing phlebotomy for diagnostic purposes to include arterial blood gases, assessment of surgical wounds, removal of chest tubes, suture repair of simple lacerations, measurement of compartment pressures, and insertion and removal of central venous catheters. In any and all of the above, the AP will not proceed until full orientation and competence has been established with sign-off by the Division/Department Head or their delegate.
Performs the following procedures, where necessary to facilitate urgent patient care: insertion of peripheral intravenous lines, initiation of intravenous medication, insertion of Foley catheters, insertion of naso-gastric tubes, application or changing a wound VAC, and removal of surgical drains/clips.
Participates in professional development activities (a minimum of 50 hours per year, 25 hours of which must be accredited training recognized by the Royal College of Physician and Surgeons’ Maintenance of Certification Program for healthcare professionals).
Attends clinical rounds, morbidity and mortality rounds, and other educational/research sessions.
Participates in quality improvement projects relating to their patient or program.
Complies with AP programs CPD reporting requirements.

To apply for this opportunity, please DO NOT apply here. Submit your application through HealthMatch BC

As per the current Public Health Orders (Long Term Care/Seniors Assisted Living Provincial Health Order and the Health Sector Order), as of October 26, 2021, all employees working for Providence Health Care must be fully vaccinated against COVID-19. Proof of vaccination status will be required.